Kang Wei Granules,a granular preparation for strengthening the spleen and replenishing Qi and for clearing away heat and resolving dampness,was used in the treatment of 288 cases of gastropathy related to Helicobacter...Kang Wei Granules,a granular preparation for strengthening the spleen and replenishing Qi and for clearing away heat and resolving dampness,was used in the treatment of 288 cases of gastropathy related to Helicobacter pylori infection.The effects were compared with De Nol^(?) triple therapy in the control group of 74 cases.The therapeutic results showed that Kang Wei Granules was superior to the western drugs in improving the principal symptoms of deficiency of the spleen and stomach,and retention of damp-heat in the interior (P<0.05).展开更多
BACKGROUND False tendon is a common intraventricular anatomical variation. It refers to a fibroid or fibromuscular structure that exists in the ventricle besides the normal connection of papillary muscle and mitral or...BACKGROUND False tendon is a common intraventricular anatomical variation. It refers to a fibroid or fibromuscular structure that exists in the ventricle besides the normal connection of papillary muscle and mitral or tricuspid valve. A large number of clinical studies have suggested that there is a significant correlation between false tendons and premature ventricular complexes. However, few studies have verified this correlation during radiofrequency catheter ablation of premature ventricular complexes.CASE SUMMARY A 45-year-old male was admitted to receive radiofrequency ablation for symptomatic premature ventricular complexes. A three-dimensional model of the left ventricle was established by intracardiac echocardiography using the CartoSound^TM mapping system. In addition to the left anterior papillary muscle,the posterior papillary muscle was mapped. False tendons were found at the base of the interventricular septum, and the other end was connected to the left ventricular free wall near the apex. An irrigated touch force catheter was advanced into the left ventricle via the retrograde approach. The earliest activation site was marked at the interventricular septum attachment of the false tendons and was successfully ablated.CONCLUSION This case verified that false tendons can cause premature ventricular complexes and may be cured by radiofrequency ablation guided by intracardiac echocardiography with the Carto Sound TM system.展开更多
IntroductionRenal pelvic carcinosarcoma (RPCS) is rare in clinic,and difficultto make preoperative diagnosis.One patient diagnosed as RPCS wastreated in our hospital in August 2008.We made it as a case report asfollows.
Objective: To observe the effects of Xuezhikang (red yeast rice) on blood lipids, blood rheology, and expression of P65 and tissue factor, and to explore the anti-atherosclerosis effect and related mechanisms of Xuezh...Objective: To observe the effects of Xuezhikang (red yeast rice) on blood lipids, blood rheology, and expression of P65 and tissue factor, and to explore the anti-atherosclerosis effect and related mechanisms of Xuezhikang (red yeast rice). Methods: 32 Wistar rats were randomly divided into normal control group, Xuezhikang treatment group, lovastatin treatment group and atherosclerosis model group (8 in each group). Blood lipids, blood rheology, malondialdehyde (MDA), total antioxidant capacity (T-AOC), and expression of aortic tissue factor (TF) and P65 were measured in each group. Results:(1) Both Xuezhikang and lovastatin could reduce blood lipid levels, but there was no significant difference between the two groups;(2) Both Xuezhikang and lovastatin can improve the hemorheology of atherosclerotic rats, but the difference between the two groups is not significant;(3) Compared with lovastatin, Xuezhikang inhibited the expression of TF and P65 in aorta of rats with atherosclerosis;(4) Compared with lovastatin, the Xuezhikang group had lower MDA levels and higher T-AOC. Conclusion: Xuezhikang can improve blood lipid levels and hemorheology in rats with atherosclerosis. Compared with lovastatin, Xuezhikang has stronger effects on inhibiting oxidative stress and down-regulating the expression of tissue factor and P65.展开更多
Background Prehospital delay remains one of the main causes of reduced benefit of reperfusion therapy for patients with acute myocardial infarction (AMI) The largest proportion of prehospital delay involves the interv...Background Prehospital delay remains one of the main causes of reduced benefit of reperfusion therapy for patients with acute myocardial infarction (AMI) The largest proportion of prehospital delay involves the interval between the onset of symptoms and the decision to seek medical treatment The purpose of this study was to examine the factors associated with the extent of care seeking delay in Beijing for patients with AMI Methods A structured interview was conducted in 102 patients with AMI in eight hospitals in Beijing Results The mean decision time in patients with AMI was (204±43) minutes, and prehospital delay time was (311±54) minutes Only 34% of patients sought medical care within one hour and a further 36% of patients presented to one of the eight hospitals within two hours after onset Educational level, atypical presentation of AMI, and family members at the site where AMI occurred were associated with longer delay time in seeking medical assistance ( P <0 05, respectively), whereas the intensity of chest pain was inversely related to patients’ delay time ( P <0 01) Patients who perceived their family relationship as good, attributed their symptoms to AMI origin, knew the time dependent nature of reperfusion therapy, or used emergency medical service tended to seek medical care in a more rapid manner ( P <0 05, respectively) Conclusions Patients with AMI in Beijing delay seeking medical care to a great extent Health education to increase the level of awareness of the target population at increased risk of AMI, including patients and their family members, is probably beneficial to reduce patients’ care-seeking delay展开更多
To the Editor:Bronchiectasis is a chronic respiratory disorder characterized by recurrent cough,sputum production,and respiratory infections.Management of bronchiectasis has got an increased emphasis in recent years.[...To the Editor:Bronchiectasis is a chronic respiratory disorder characterized by recurrent cough,sputum production,and respiratory infections.Management of bronchiectasis has got an increased emphasis in recent years.[1]Patients with bronchiectasis should undergo routine monitoring in order to identify disease progression and modify treatment when necessary.In recent years,three composite disease-specific systems have been developed,which are verified for evaluating bronchiectasis severity and predicting prognosis:bronchiectasis severity index(BSI),FACED(F:forced expiratory volume in 1 s%predicted[FEV1%pred],A:age,C:presence of chronic colonisation by Pseudomonas aeruginosa,E:radiological extension[number of pulmonary lobes affected],D:dyspnoea)and FACED plus exacerbations in the previous year(E-FACED).[2,3,4]All three scoring systems classify patients into low,moderate,and high risk groups by different thresholds,respectively.展开更多
文摘Kang Wei Granules,a granular preparation for strengthening the spleen and replenishing Qi and for clearing away heat and resolving dampness,was used in the treatment of 288 cases of gastropathy related to Helicobacter pylori infection.The effects were compared with De Nol^(?) triple therapy in the control group of 74 cases.The therapeutic results showed that Kang Wei Granules was superior to the western drugs in improving the principal symptoms of deficiency of the spleen and stomach,and retention of damp-heat in the interior (P<0.05).
文摘BACKGROUND False tendon is a common intraventricular anatomical variation. It refers to a fibroid or fibromuscular structure that exists in the ventricle besides the normal connection of papillary muscle and mitral or tricuspid valve. A large number of clinical studies have suggested that there is a significant correlation between false tendons and premature ventricular complexes. However, few studies have verified this correlation during radiofrequency catheter ablation of premature ventricular complexes.CASE SUMMARY A 45-year-old male was admitted to receive radiofrequency ablation for symptomatic premature ventricular complexes. A three-dimensional model of the left ventricle was established by intracardiac echocardiography using the CartoSound^TM mapping system. In addition to the left anterior papillary muscle,the posterior papillary muscle was mapped. False tendons were found at the base of the interventricular septum, and the other end was connected to the left ventricular free wall near the apex. An irrigated touch force catheter was advanced into the left ventricle via the retrograde approach. The earliest activation site was marked at the interventricular septum attachment of the false tendons and was successfully ablated.CONCLUSION This case verified that false tendons can cause premature ventricular complexes and may be cured by radiofrequency ablation guided by intracardiac echocardiography with the Carto Sound TM system.
文摘IntroductionRenal pelvic carcinosarcoma (RPCS) is rare in clinic,and difficultto make preoperative diagnosis.One patient diagnosed as RPCS wastreated in our hospital in August 2008.We made it as a case report asfollows.
文摘Objective: To observe the effects of Xuezhikang (red yeast rice) on blood lipids, blood rheology, and expression of P65 and tissue factor, and to explore the anti-atherosclerosis effect and related mechanisms of Xuezhikang (red yeast rice). Methods: 32 Wistar rats were randomly divided into normal control group, Xuezhikang treatment group, lovastatin treatment group and atherosclerosis model group (8 in each group). Blood lipids, blood rheology, malondialdehyde (MDA), total antioxidant capacity (T-AOC), and expression of aortic tissue factor (TF) and P65 were measured in each group. Results:(1) Both Xuezhikang and lovastatin could reduce blood lipid levels, but there was no significant difference between the two groups;(2) Both Xuezhikang and lovastatin can improve the hemorheology of atherosclerotic rats, but the difference between the two groups is not significant;(3) Compared with lovastatin, Xuezhikang inhibited the expression of TF and P65 in aorta of rats with atherosclerosis;(4) Compared with lovastatin, the Xuezhikang group had lower MDA levels and higher T-AOC. Conclusion: Xuezhikang can improve blood lipid levels and hemorheology in rats with atherosclerosis. Compared with lovastatin, Xuezhikang has stronger effects on inhibiting oxidative stress and down-regulating the expression of tissue factor and P65.
文摘Background Prehospital delay remains one of the main causes of reduced benefit of reperfusion therapy for patients with acute myocardial infarction (AMI) The largest proportion of prehospital delay involves the interval between the onset of symptoms and the decision to seek medical treatment The purpose of this study was to examine the factors associated with the extent of care seeking delay in Beijing for patients with AMI Methods A structured interview was conducted in 102 patients with AMI in eight hospitals in Beijing Results The mean decision time in patients with AMI was (204±43) minutes, and prehospital delay time was (311±54) minutes Only 34% of patients sought medical care within one hour and a further 36% of patients presented to one of the eight hospitals within two hours after onset Educational level, atypical presentation of AMI, and family members at the site where AMI occurred were associated with longer delay time in seeking medical assistance ( P <0 05, respectively), whereas the intensity of chest pain was inversely related to patients’ delay time ( P <0 01) Patients who perceived their family relationship as good, attributed their symptoms to AMI origin, knew the time dependent nature of reperfusion therapy, or used emergency medical service tended to seek medical care in a more rapid manner ( P <0 05, respectively) Conclusions Patients with AMI in Beijing delay seeking medical care to a great extent Health education to increase the level of awareness of the target population at increased risk of AMI, including patients and their family members, is probably beneficial to reduce patients’ care-seeking delay
基金This work was supported by a grant from the Beijing Municipal Administration of High Level Health Technical Personnel Ttraining Plan,China(No.2015-3-027)。
文摘To the Editor:Bronchiectasis is a chronic respiratory disorder characterized by recurrent cough,sputum production,and respiratory infections.Management of bronchiectasis has got an increased emphasis in recent years.[1]Patients with bronchiectasis should undergo routine monitoring in order to identify disease progression and modify treatment when necessary.In recent years,three composite disease-specific systems have been developed,which are verified for evaluating bronchiectasis severity and predicting prognosis:bronchiectasis severity index(BSI),FACED(F:forced expiratory volume in 1 s%predicted[FEV1%pred],A:age,C:presence of chronic colonisation by Pseudomonas aeruginosa,E:radiological extension[number of pulmonary lobes affected],D:dyspnoea)and FACED plus exacerbations in the previous year(E-FACED).[2,3,4]All three scoring systems classify patients into low,moderate,and high risk groups by different thresholds,respectively.
